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Спонтанная диссекция коронарных артерий

https://doi.org/10.18087/cardio.2019.9.10269

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Аннотация

В течение нескольких десятилетий спонтанная диссекция коронарных артерий (СДКА) известна как одна из причин развития острого коронарного синдрома (ОКС). Предполагалось, что заболевание встречается крайне редко и ассоциируется с беременностью и послеродовым периодом. Использование в клинической практике высокочувствительного тропонина, коронарографии (КГ) в раннем периоде ОКС в совокупности с растущей осведомленностью врачей об этой патологии привело к пересмотру представлений о распространенности заболевания. В настоящее время СДКА рассматривается как одна из причин ОКС у женщин молодого и среднего возраста без факторов риска развития атеросклероза. В обзоре освещены результаты выполненных в последние годы исследований, касающиеся патогенеза, диагностики и лечения СДКА, описаны различные ангиографические типы заболевания, проблемы выбора оптимальной тактики ведения больных с СДКА.

Об авторах

Н. С. Жукова
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия

MD, PhD

Москва



Р. М. Шахнович
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


И. Н. Меркулова
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


Т. С. Сухинина
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


Д. В. Певзнер
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


И. И. Староверов
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


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Для цитирования:


Жукова Н.С., Шахнович Р.М., Меркулова И.Н., Сухинина Т.С., Певзнер Д.В., Староверов И.И. Спонтанная диссекция коронарных артерий. Кардиология. 2019;59(9):52-63. https://doi.org/10.18087/cardio.2019.9.10269

For citation:


Zhukova N.S., Shakhnovich R.M., Merkulova I.N., Sukhinina T.S., Pevzner D.V., Staroverov I.I. Spontaneous Coronary Artery Dissection. Kardiologiia. 2019;59(9):52-63. (In Russ.) https://doi.org/10.18087/cardio.2019.9.10269

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